National Provider Identifier

Stephen Russell Anderson, PH.D.

Stephen Russell Anderson, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in East Amherst, NY and a listed phone number of (716) 741-3477.

NPI 1366680696East Amherst, NYClinical Psychologist

Profile Overview

NPI
1366680696
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
January 23, 2009
Last Updated
January 23, 2009

Practice Location

  • 8297 Old Post RD E
  • East Amherst, NY 14051-1530

Phone: (716) 741-3477

Specialties

  • Clinical Psychologist (103TC0700X)
  • Behavior Analyst (103K00000X)
Full Record
NPI
1366680696
Entity Type
Individual
Last Name
Anderson
First Name
Stephen
Middle Name
Russell
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
8297 Old Post RD E
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-1530
Mailing Country
US
Mailing Phone
(716) 741-3477
Practice Street Address
8297 Old Post RD E
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-1530
Practice Country
US
Practice Phone
(716) 741-3477
Enumeration Date
January 23, 2009
Last Updated
January 23, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X), Behavior Analyst (103K00000X)